Astanga Hrudaya
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नाडीनां सूक्ष्मवक्त्रत्वात् कन्यानां न स जायते । क्रुद्धो रुद्धगतिर्वायुः शोफशूलकरश्चरन् ॥ २१ ॥
it does not happen in virgins (girls who have not menstruated) because the mouths of the breast channels are minute. Thus ends the diagnosis of Vidradhi (abscess). Vriddhi Nidana (Diagnosis of enlargement of scrotum): Vata getting aggravated from obstruction of its movements, begins to move from the groins to the scrotum,
english translation
nADInAM sUkSmavaktratvAt kanyAnAM na sa jAyate । kruddho ruddhagatirvAyuH zophazUlakarazcaran ॥ 21 ॥
hk transliteration by Sanscriptमुष्कौ वङ्क्षणतः प्राप्य फलकोशाभिवाहिनीः । प्रपीड्य धमनीर्वृद्धिं करोति फलकोशयोः ॥ २२ ॥
producing swelling and pain, on reaching the vessels of the scrotum followed by pulling down of the dhamani (blood vessels) going into vessels inside the scrotum causes Vrddhi (enlargement) of the scrotum vriddhi is of seven kinds-viz
english translation
muSkau vaGkSaNataH prApya phalakozAbhivAhinIH । prapIDya dhamanIrvRddhiM karoti phalakozayoH ॥ 22 ॥
hk transliteration by Sanscriptदोषास्रमेदोमूत्रान्त्रैः स वृद्धिः सप्तधा गदः । मूत्रान्त्रजावप्यनिलाद्धेतुभेदस्तु केवलम् ॥ २३ ॥
from each of the dosha separately , by blood, by fat, by urine and by the intestines; those by urine and intestine are (actually) caused by vata itself but are designated differently (to denote the organs involved).
english translation
doSAsramedomUtrAntraiH sa vRddhiH saptadhA gadaH । mUtrAntrajAvapyanilAddhetubhedastu kevalam ॥ 23 ॥
hk transliteration by Sanscriptवातपूर्णदृतिस्पर्शो रूक्षो वातादहेतुरुक् । पक्वोदुम्बरसङ्काशः पित्ताद्दाहोष्मपाकवान् ॥ २४ ॥
Rupa (Clinical features) In that (swelling of the scrotum) caused by vata, the (scrotum) resembles a leather bag filled with air for touch, is dry and painful without any other reason in that caused by pitta ( the scrotum) resembles a ripe fruits of udumbara (brownish red in color and small) and has burning sensation, heat and suppuration;
english translation
vAtapUrNadRtisparzo rUkSo vAtAdaheturuk । pakvodumbarasaGkAzaH pittAddAhoSmapAkavAn ॥ 24 ॥
hk transliteration by Sanscriptकफाच्छीतो गुरुः स्निग्धः कण्डूमान् कठिनोऽल्परुक् । कृष्णस्फोटावृतः पित्तवृद्धिलिङ्गश्च रक्ततः ॥ २५ ॥
in Vruddhi caused by kapha (the scrotum) is cold, heavy, unctuous, itching, hard and with slight pain; in Vruddhi caused by blood, scrotum is studded with black eruptions (boils) and has the symptoms of increase of pitta;
english translation
kaphAcchIto guruH snigdhaH kaNDUmAn kaThino'lparuk । kRSNasphoTAvRtaH pittavRddhiliGgazca raktataH ॥ 25 ॥
hk transliteration by Sanscript